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HomeMy WebLinkAbout0117943-Building G OSHKOSH ON THE WATER Job Address <r~4 DC\GTpRS CT CITY OF OSHKOSH No 117943 BUILDING PERMIT - APPLICATION AND RECORD Owner AURORA MEDICAL GROUP INC Create Date 01/19/2006 Designer Hammes Company 223 - Alteration Offices, Banks, Professional Contractor MIRON CONSTRUCTION CO INC Category Plan Type . Building 0 Sign 0 Canopy 0 Fence 0 Raze Zoning Class of Const: Size Unfinished/Basement ----2 Sq. Ft. ----2 Sq. Ft. Rooms 0 Height 0 Ft. Bedrooms 0 Stories Baths 0 D Projection I Finished/Living Canopies Garage ----2 Sq. Ft. Signs 0 Foundation . Poured Concrete 0 Floating Slab 0 Concrete Block 0 Post 0 Pier 0 Treated Wood 0 Other Occupancy Permit Required Flood Plain No Height Permit Not Required Park Dedication Not Required # Dwelling Units 0 # Structures 0 ~:;,;~~~ure g::-:It~t~~tions to convert 6 exam rooms into 4 exam rooms as per plans and disproportionality form submitted. NO STRUCTURAL HVAC Contractor Plumbing Contractor UNKNOWN Electric Contractor UNKNOWN???? Fees: Valuation $18,713.00 Plan Approval $0.00 Permit Fee Paid $119.00 Park Dedication $0.00 Issued By: Date 01/20/2006 Final/O.P. 00/00/0000 D Permit Voided I Parcelld # 1519110600 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure a eces ary a als b for s rting sue ctivity. . ..., Date /-ZD -Z{)¿)~ Signature Address PO BOX 509 NEENAH WI 54957 - 0509 Telephone Number 920-969-7053 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. IV""'"" 15:52 FAX 282 792 3820 HAMMES COMPANY ~001/003 Halllll1~S Company CONFIDENTIAL FACSIMILE TRANSMITTAL TO: Brian FIRM: City oCOshkosh - Buildiug Permits PHONE: 920/236-5051 FAX: 920/236-5084 FROM: GaJ)' W. Fischer Hammes Company 'DATE: January 18, 2006 NO. OF PAGES: Three (3) pages including cover page ANY PROBLEMS WITH THIS TRANSMITTAL: Call Gary Fischer at 262/792-4735 Re: Aurora Health Ceuter 414 Doctors Court Oshkosh, WI 54901 Project #3004-001-052 Briau: . Disproportionality Form - Building Permit On behalf of Aurora Medical Group we are submitting the attached DisproportÎonality Form (dated 1/18/06) for a building permitto renovate six (6) exam rooms into four (4) exam rooms and provide new ADA accessible doors for the new exam rooms. Miron ConstructiOn has been retained for the renovation work and has submitted the construction plans to your office today- Please call us when the building permit is ready to be issued. Miron Construction will pay the building permit fees. lfyou have any question, feel free to calL 1/18/06 Copy to: Rudy Sajdak Miron Coustrudion e-mail roa j dak@mironconst.com TelephOne 262-792-5900 / Facsimile Transmission 262-792-3620 18000 W, Sarah Lane, Suite #250 Brookfield, Wisconsin 53045 0~!18/2q08 15:52 FAX 2827823820 HAMMES COMPANY DISPROPORTIONALITY FORM (SBIJ.IO219) . DispmportiolVll.ity form, SBD 10219, shall be submitted with the plan application form and plans at the fuJle ofbuì1ding plan review. The plan reviewer will detennine compfumçe with the alteration reqlrlrements specified . in chapter COMM 69- PROJECT INFORMATION BUILDING LOCATION: 11'-1 !J{)JfÖ/(S {ol/lPr S1'REET ADDRESS . ~.~~;~ WI 5190! j¡/YlJV~ /11m/ (ilL GtlÒ/JP , i/4;øIf/ra; 41ß'¡ t~ ;/ø/!t1{t1rt! '1/ i!sf ÚC 5 . /fJrf .1t1!?(}fill /I11:-7)J(flt- &f!f)Vf /- Ilf-Or:, . OWNER'S NAME (PLEAJ;E PRINI) 0 ~ 64A ~ 002/003 01/18/2908 15: 52 FAX 282 792 3820 HAMMES COMPANY ~ 003/003 DISPROPORTIONALITY COMM 69.10 (3) AND ADAAG 4.1.6 (2) A. TOTAL COST OF ALTERATION TO PRIMARY FUNCITON AREA.. (Excluding costs in B.) ," - . MINIMUM EXPENDlTIJRES FOR 1> ATH OF TRAVEL: 1 20% of toW cost ofaltmiÐon to a primary function B. COSTS TIIAT MAY BE COUNTED AS ExPENDITURES REQUIRED TO PROVIDE A PAm OF 1RA VEL (Usted ID order ofpnority in the event of disproportiolUllity); . 1. Costs associated with províðing an accessible ¡:nùance: S 2. Costs associa~d with providing accessible J"Ouœ to the altered area: . , , . 3. Costs associatc:d with making toi1=t rooms accessible, such as mstalling grab ban!, ën!argi:ng toilet stàlls, insulating pipes or installing accessible fiwcet controls: $ 4. Costs associated with providing accessible telephones, such as relocating the telephone to lID açœssible height, installing amplification devices or iDsta11in¡ TIY' $: 5. Costs associated with reloc:ating an ìnaccessi."ble drin1ång fountain: 6. Costs associated with providiDg acccsSl"ble eIemen1s such lIS parking, stomge and alarms. TOTAL COSTS TO PROVIDE PATH OF IRA VEL; C. DISPROPORTIONATE COSTS: !fthe total cost of the expenditure¡¡ in.B. is greater than 20% of the: total cost (¡fthe a!taatiõn in A., list the accessibility featUres that will equal or exceed' 20% of the toW cost oftbe altemtiòn. . SBD-I0219 fN.I0/9S) $ $ ;5:/30 . 3æ~7 $ .-0- 35"133 33()o s $ $ $ 6(jfJ} '¡{Mec;s;!:;!e. ¡/¡MJ1/fll!é, á!1Æ1&rf ~ S;:ì?tnj l¡)/!)¡;,'r IJ.. '!:!N TOTAL:$ .35ð3. 645 JØ:" > ~: .88; L 450 "; 0 -< > SPAèE c------- - - 1 .,' ',-,' ;'~~~"'-.."-'" ~:;~C~) HYf. . I I ~ '.DR] ~ø I j-tVAC j < .. ¡ 1 - ;; j; - ',' ", ~: > , ~ , ~ -¡ ~, '" " ~ ~ " '" ----- ~ I 1 ' ¡ NORTH , CONSULT A TiON 1[213\ , CONSUL TA TION , IE212\ , ! ¡ j; " ' " cr::: 0 ~[m 0::: N a.,.N' 0 w , , , . 0 , " " , ., . ;, Ii " " f ' " > " /~ - ' , ::~ :.---..:~ " '-> L' \ f I 11 ': ' . k----7/~YH~~1'tY . J Îl EXAM fl- j .¡k-{ ~ t-. '- . .... EXAM ALl ~ 201l B CORRIDOR JE 215 ~ ' . EXAM '\E221\ 0 NURSES 1 E2171 90 CFM 1E219\ - ,,( - CONSULTATION - \E232\ CONSUL T A TION IE231} EXAM ~ EJ Existing Conditions Exam Room 209 Exam Room 210 Exam Room 211 Exam Room 212 Exam Room 204 Exam Room 205 Exam Room 206 LAB 220 Nurses 217 & Aurora Health Center 414 Doctors Court Oshkosh ,WI 11/08/05 , , .. , I , ." - -...." -T~- 95 CFM EXAM' ! 2631.. f~~~~~~-~:-:::: ~ , I, , , . , 'f ' if -- ~.t-.. - - . 1 , , , , ¡ . . , " , , .. EXAM 1202[ 170 CFM 50 tFM " VEST (roIL-&[ fV1.,'. IE20q ¡Ii. i....~o.u.~~r<"" q . ." ;¡g - .. : \ "---_/ I: ~ I CORRIDOR \226\ EXAM A2 !205\ 270 CFM 50 , CFM 235 CFM CONSULTATION 1E227\ [l EXAM A3210 OJ j 20GI CEM <:b PROCEDURE ! 2071 ' '200 CFM ~-- . .. . ~ ;. , ., ~~ ".'.'. .' '. :~::,..,,;:rT'-c.¡ ,":""-<=~""", ~~ ~~." 'I. ~~~C~j aT 88 '1 450 J ;' " ' :S:;':):~:::: '\.. Fi 'iJ ~ ti'\ " W fj, <:>". L 0 ' n '~ I 01 / :: . <, . , . . 'Ul: " ,. .,. [X1' . CONSULT A TION \E2I31 " , ~ ~. .'~' ¡i l " ~ , " :0" ~ f . , VAC , , . , i B NORTH SPAC[ , - ~ -'- H 1 15'1 ~II :@ STaR EXAM' \E2061 , CONSUL T A T10N, tE2IZ[ .,-- ~ ;' . / ., r . .¡ . , . . ' . . , . . ;, j; j " : 1 ,. , ,,' " " , ' " /~ , ' ,. :;:~ ~.---.,:: , I) L' ~ I : II ': . , , CONSULT A T10N 'E232~ "- EXAM I~~J D ~)o EXAM ,- . . - EX AM A4 12011 170 CFM II{\) B CORRIDOR IE2'151 a:: 0 ml § I ~~~l 0 1£219 ì ! 0 CÔRRIÒOR , tE2 261 , :0, :.'1Pl1 " 'fÎ1 n~, -mi" . . ". --=~,L.~-=-.J c. "- , \.......". -'--- , - ,T", -.. ~ \ .' E X AM ......:: : . ': E x A ~ ~ 1 '1-05 ' M '-"-' - ...--- 0 / - , ~OEAN PROCEDURE [Z07\ ' 50 tFM' '200 . CF'M NURSES [EZIT ' 90 CFM , VEST /TO¡tE~: M ~20q 'II, ~~:g~,¡, L¿:~~L" '. l ,;}) , " q /' : \ "-. ---= .. .1 ¡ , c_=: = ¡ -----.-- 95 CFM EXAM ~ r---- -- --, . 203. :-;::::: :;--- , " / l' , ,CONSUL TA TION ' :[E231\ . ¡ , if -- t..r --' ,', , , , , t , . , , , . . CORRIDOR 12261 235 CFM CONSUL TA TION 1E22] OJ EXAM A2 t20S¡ 270 CPM 50 'CFM EXAM A3270 rn lZO6 ~ CFM L-.J t -- .